Healthcare Provider Details
I. General information
NPI: 1649144684
Provider Name (Legal Business Name): THE KNEE ARTHRITIS INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
35455 GARFIELD RD STE 100
CLINTON TOWNSHIP MI
48035-2500
US
IV. Provider business mailing address
35455 GARFIELD RD STE 100
CLINTON TOWNSHIP MI
48035-2500
US
V. Phone/Fax
- Phone: 586-600-5633
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133NN1002X |
| Taxonomy | Nutrition Education Nutritionist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
EDDIE
EL-YUSSIF
Title or Position: OWNER
Credential: D.O.
Phone: 586-600-5633